A nurse in a mental health facility is making plans for a client's discharge.
Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?

Recreational therapist.

Social worker.

Clinical nurse specialist.

Occupational therapist.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The recreational therapist is not typically involved in housing placement. Their role is more focused on providing therapeutic activities and recreation to clients.

Choice B rationale:

The social worker is the most appropriate team member to contact for housing placement assistance. Social workers are trained to address psychosocial issues, including housing, and can help the client find suitable living arrangements.

Choice C rationale:

The clinical nurse specialist may have a role in the client's care but is not typically responsible for housing placement. Their expertise is usually related to clinical care and education.

Choice D rationale:

The occupational therapist's primary focus is on helping clients with activities of daily living and improving functional independence. They are not typically responsible for housing placement.

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Correct Answer is C

Explanation

Choice A rationale:

Exposure and response prevention does not involve avoiding triggers that lead to obsessions and compulsions. It actually involves confronting these triggers to reduce their impact on the individual. Avoidance would not be an effective strategy in CBT for OCD.

Choice B rationale:

Engaging in compulsive behaviors to reduce anxiety is not the goal of exposure and response prevention. Instead, the therapy aims to help individuals resist engaging in these behaviors, allowing them to gradually reduce their anxiety over time.

Choice C rationale:

This is the correct answer. Exposure and response prevention in CBT for OCD involves facing situations that trigger anxiety while preventing the compulsive behaviors. This process helps individuals learn to tolerate the anxiety without resorting to compulsions, ultimately reducing the obsessions and compulsions' severity.

Choice D rationale:

Eliminating all exposure to distressing situations is not the goal of exposure and response prevention. The therapy aims to expose individuals to these situations in a controlled manner so they can learn to manage their anxiety and reduce compulsive behaviors. In exposure and response prevention, the key principle is to gradually expose the individual to situations that trigger their obsessions while simultaneously preventing the performance of compulsive behaviors. This approach allows the individual to confront their fears and anxiety, gradually reducing their sensitivity to these triggers.

A. Stop the newly licensed nurse from administering the medication. B. Assess the need for physical restraints. C. Demonstrate how to verbally de-escalate the situation. D. Discuss the purpose of the medication with the client.

Correct Answer is A

Explanation

Answer is: **Stop the newly licensed nurse from administering the medication.**

Explanation:the first step in dealing with a client who is manic and refuses treatment is to stop the nurse from administering the medication. This is because giving an injection to a patient in an agitated and manic state could be dangerous for both the patient and the nurse¹². The nurse manager should follow the principle of least restrictive intervention when handling such a situation².

The other options are incorrect because:

- Assessing the need for physical restraints is not a priority action, as it may escalate the situation and cause more harm than good¹².
- Demonstrating how to verbally de-escalate the situation is also not a priority action, as it may not be effective if the client is too agitated or irrational to listen¹².
- Discussing the purpose of the medication with the client may be helpful, but it should be done after assessing the need for physical restraints and trying other methods of communication¹².

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A nurse in a mental health facility is making plans for a client's discharge.Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with OCD is undergoing cognitive-behavioral therapy (CBT). The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

Correct Answer is C

Explanation

A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first?

Correct Answer is A

Explanation

A nurse is caring for a client who exhibits chronic physical symptoms that cannot be fully explained by medical conditions.These symptoms cause distress and impairment in the client's daily life.What term is used to describe this condition?

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure.The client informs the nurse that they do not want to have the procedure.Which of the following actions should the nurse take?

A nurse is creating a plan of care for a client who has major depressive disorder.Which of the following interventions should the nurse include in the plan?

A nurse in a long-term care facility is caring for a client.The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

A nurse is caring for a client who has a binge eating disorder.Which of the following actions should the nurse take?

A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?

A nurse in a mental health facility is making plans for a client's discharge.
Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?